Nursing Home Alerts

Delta Oaks Post Acute

6940 Pacific Avenue, Stockton, CA 95207

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Delta Oaks Post Acute is a nursing home in Stockton, California. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

CMS star ratings

Facts from CMS

Phone
(209) 477-4817
Last standard health inspection
October 2, 2025 (1 year ago)
Certified beds
128
Residents per day, on average
108.7
Ownership type
For profit - Limited Liability company
Legal business name
Windsor Elmhaven Care Center, LLC
Chain
Windsor
Takes part in
Medicare and Medicaid

More health citations than the California average (116 vs 50).

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

  1. CMS update of October 8, 2026

    • CMS abuse icon

      CMS added its abuse icon to this home.

  2. 1 citation

    Health inspection on August 25, 2026

    CMS lists this as a complaint inspection.

    • Citation F0584. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

      CMS lists it as corrected on August 26, 2026.

      CMS has cited this home for F0584 3 times since 2024.

    See this home on CMS Care Compare

  3. 1 citation

    Health inspection on August 19, 2026

    CMS lists this as a complaint inspection.

    • Citation F0880. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on August 20, 2026.

      CMS has cited this home for F0880 12 times since 2023.

    See this home on CMS Care Compare

  4. CMS update of July 29, 2026

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 3 of 5.

    • Star rating

      The CMS quality measures star rating changed from 2 of 5 to 3 of 5.

  5. CMS update of June 24, 2026

    • CMS abuse icon

      CMS removed its abuse icon from this home.

  6. 4 citations

    Health inspection on June 9, 2026

    CMS lists this as a complaint inspection.

    • Citation F0600. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

      CMS lists it as corrected on June 16, 2026.

      CMS has cited this home for F0600 3 times since 2024.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on June 16, 2026.

      CMS has cited this home for F0656 5 times since 2024.

    • Citation F0658. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure services provided by the nursing facility meet professional standards of quality.

      CMS lists it as corrected on June 16, 2026.

      CMS has cited this home for F0658 2 times since 2023.

    • Citation F0685. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Assist a resident in gaining access to vision and hearing services.

      CMS lists it as corrected on June 16, 2026.

    See this home on CMS Care Compare

  7. CMS update of April 29, 2026

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 2 of 5.

    • Staffing

      Total nurse staffing reported to CMS went from 4.9 to 4.4 hours per resident per day.

  8. 2 citations

    Health inspection on April 21, 2026

    CMS lists this as a complaint inspection.

    • Citation F0628. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

      CMS lists it as corrected on April 24, 2026.

      CMS has cited this home for F0628 2 times since 2025.

    • Citation F0657. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

      CMS lists it as corrected on April 24, 2026.

      CMS has cited this home for F0657 3 times since 2023.

    See this home on CMS Care Compare

  9. 4 citations

    Health inspection on April 15, 2026

    CMS lists this as a complaint inspection.

    Severity G is the second-highest of CMS's four levels. It means a resident was harmed.

    118 of 1,165 California homes (10%) got a citation at the actual harm level in 2026.

    • Citation F0689. Severity G: actual harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on April 18, 2026.

      CMS has cited this home for F0689 10 times since 2024.

    • Citation F0880. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on April 18, 2026.

    • Citation F0760. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that residents are free from significant medication errors.

      CMS lists it as corrected on April 18, 2026.

      CMS has cited this home for F0760 3 times since 2023.

    • Citation F0761. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

      CMS lists it as corrected on April 18, 2026.

      CMS has cited this home for F0761 4 times since 2023.

    See this home on CMS Care Compare

  10. 4 citations

    Health inspection on April 2, 2026

    CMS lists this as a complaint inspection.

    • Citation F0657. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

      CMS lists it as corrected on April 24, 2026.

    • Citation F0609. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      CMS lists it as corrected on April 24, 2026.

      CMS has cited this home for F0609 2 times since 2024.

    • Citation F0610. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Respond appropriately to all alleged violations.

      CMS lists it as corrected on April 24, 2026.

      CMS has cited this home for F0610 3 times since 2024.

    • Citation F0637. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Assess the resident when there is a significant change in condition

      CMS lists it as corrected on April 24, 2026.

    See this home on CMS Care Compare

  11. 1 citation

    Health inspection on March 5, 2026

    CMS lists this as a complaint inspection.

    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on March 6, 2026.

    See this home on CMS Care Compare

  12. CMS update of February 25, 2026

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 3 of 5.

  13. 2 citations

    Health inspection on February 17, 2026

    CMS lists this as a complaint inspection.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on February 18, 2026.

    • Citation F0697. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe, appropriate pain management for a resident who requires such services.

      CMS lists it as corrected on February 18, 2026.

      CMS has cited this home for F0697 2 times since 2024.

    See this home on CMS Care Compare

  14. CMS update of January 14, 2026

    • CMS abuse icon

      CMS added its abuse icon to this home.

  15. 1 citation

    Health inspection on December 30, 2025

    CMS lists this as a complaint inspection.

    • Citation F0740. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

      CMS lists it as corrected on February 10, 2026.

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  16. 1 citation

    Health inspection on December 4, 2025

    CMS lists this as a complaint inspection.

    • Citation F0814. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Dispose of garbage and refuse properly.

      CMS lists it as corrected on December 8, 2025.

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  17. 1 citation

    Health inspection on November 24, 2025

    CMS lists this as a complaint inspection.

    • Citation F0627. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

      CMS lists it as corrected on December 8, 2025.

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  18. CMS update of November 20, 2025

    • Name

      CMS lists a new name for this home. It was WINDSOR ELMHAVEN CARE CENTER.

  19. 15 citations

    Health inspection on October 2, 2025

    CMS lists this as a standard inspection.

    • Citation F0550. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

      CMS lists it as corrected on October 27, 2025.

      CMS has cited this home for F0550 3 times since 2023.

    • Citation F0689. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on October 27, 2025.

    • Citation F0755. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on October 27, 2025.

      CMS has cited this home for F0755 4 times since 2023.

    • Citation F0761. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

      CMS lists it as corrected on October 27, 2025.

    • Citation F0812. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on October 27, 2025.

      CMS has cited this home for F0812 3 times since 2023.

    • Citation F0880. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on October 27, 2025.

    • Citation F0655. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

      CMS lists it as corrected on October 27, 2025.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on October 27, 2025.

    • Citation F0688. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

      CMS lists it as corrected on October 27, 2025.

      CMS has cited this home for F0688 3 times since 2023.

    • Citation F0692. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide enough food/fluids to maintain a resident's health.

      CMS lists it as corrected on October 27, 2025.

      CMS has cited this home for F0692 2 times since 2024.

    • Citation F0745. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide medically-related social services to help each resident achieve the highest possible quality of life.

      CMS lists it as corrected on October 27, 2025.

    • Citation F0757. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident’s drug regimen must be free from unnecessary drugs.

      CMS lists it as corrected on October 27, 2025.

      CMS has cited this home for F0757 2 times since 2024.

    • Citation F0759. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure medication error rates are not 5 percent or greater.

      CMS lists it as corrected on October 27, 2025.

      CMS has cited this home for F0759 2 times since 2023.

    • Citation F0883. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement policies and procedures for flu and pneumonia vaccinations.

      CMS lists it as corrected on October 27, 2025.

    • Citation F0887. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

      CMS lists it as corrected on October 27, 2025.

    See this home on CMS Care Compare

  20. 34 citations

    Fire safety inspection on October 2, 2025

    CMS lists this as a standard inspection.

    • Citation E0004. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Develop and maintain an Emergency Preparedness Program (EP).

      CMS lists it as corrected on September 23, 2026.

    • Citation E0009. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Include a process for Emergency Preparedness collaboration.

      CMS lists it as corrected on September 23, 2026.

    • Citation E0013. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Develop Emergency Preparedness policies and procedures.

      CMS lists it as corrected on September 23, 2026.

    • Citation E0018. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Establish procedures for tracking staff and patients during an emergency.

      CMS lists it as corrected on September 23, 2026.

    • Citation E0020. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Establish policies and procedures including evacuation.

      CMS lists it as corrected on September 23, 2026.

    • Citation E0022. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Establish policies and procedures for sheltering.

      CMS lists it as corrected on September 23, 2026.

    • Citation E0029. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Develop a communication plan.

      CMS lists it as corrected on September 23, 2026.

    • Citation E0034. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Provide a means of sharing information on occupancy/needs.

      CMS lists it as corrected on September 23, 2026.

    • Citation E0036. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Establish emergency prep training and testing.

      CMS lists it as corrected on September 23, 2026.

    • Citation E0037. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Establish staff and initial training requirements.

      CMS lists it as corrected on September 23, 2026.

    • Citation K0345. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have approved installation, maintenance and testing program for fire alarm systems.

      CMS lists it as corrected on September 23, 2026.

      CMS has cited this home for K0345 4 times since 2023.

    • Citation K0352. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Properly install and monitor supervisory attachments on automatic sprinkler systems.

      CMS lists it as corrected on September 15, 2026.

    • Citation K0363. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Install corridor and hallway doors that block smoke.

      CMS lists it as corrected on September 23, 2026.

      CMS has cited this home for K0363 3 times since 2023.

    • Citation K0521. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

      CMS lists it as corrected on September 22, 2026.

      CMS has cited this home for K0521 2 times since 2024.

    • Citation K0741. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

      CMS lists it as corrected on September 23, 2026.

      CMS has cited this home for K0741 4 times since 2023.

    • Citation K0918. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.

      CMS lists it as corrected on April 30, 2027.

      CMS has cited this home for K0918 3 times since 2023.

    • Citation K0919. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Meet requirements for the use of electrical equipment.

      CMS lists it as corrected on September 22, 2026.

      CMS has cited this home for K0919 2 times since 2023.

    • Citation K0926. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

      CMS lists it as corrected on September 22, 2026.

    • Citation K0353. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on September 23, 2026.

      CMS has cited this home for K0353 3 times since 2023.

    • Citation K0355. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Properly select, install, inspect, or maintain portable fire extinguishes.

      CMS lists it as corrected on September 23, 2026.

      CMS has cited this home for K0355 3 times since 2023.

    • Citation K0374. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Install smoke barrier doors that can resist smoke for at least 20 minutes.

      CMS lists it as corrected on September 23, 2026.

      CMS has cited this home for K0374 3 times since 2023.

    • Citation K0920. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure proper usage of power strips and extension cords.

      CMS lists it as corrected on September 23, 2026.

      CMS has cited this home for K0920 3 times since 2023.

    • Citation K0211. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Keep aisles, corridors, and exits free of obstruction in case of emergency.

      CMS lists it as corrected on September 23, 2026.

    • Citation K0321. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

      CMS lists it as corrected on September 22, 2026.

      CMS has cited this home for K0321 2 times since 2023.

    • Citation K0324. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide properly protected cooking facilities.

      CMS lists it as corrected on September 22, 2026.

      CMS has cited this home for K0324 3 times since 2023.

    • Citation K0331. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Construct fire resistant interior walls.

      CMS lists it as corrected on September 22, 2026.

    • Citation K0342. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

      CMS lists it as corrected on September 22, 2026.

    • Citation K0343. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

      CMS lists it as corrected on September 17, 2026.

    • Citation K0511. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have properly installed electrical wiring and gas equipment.

      CMS lists it as corrected on September 16, 2026.

    • Citation K0711. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide a written emergency evacuation plan.

      CMS lists it as corrected on September 23, 2026.

    • Citation E0007. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Address patient/client population and determine types of services needed.

      CMS lists it as corrected on September 23, 2026.

    • Citation E0030. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: List the names and contact information of those in the facility.

      CMS lists it as corrected on September 23, 2026.

    • Citation K0293. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Have properly located and lighted "Exit" signs.

      CMS lists it as corrected on September 25, 2026.

      CMS has cited this home for K0293 2 times since 2023.

    • Citation K0712. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Have simulated fire drills held at unexpected times.

      CMS lists it as corrected on September 16, 2026.

      CMS has cited this home for K0712 3 times since 2023.

    See this home on CMS Care Compare

  21. 3 citations

    Health inspection on September 25, 2025

    CMS lists this as a complaint inspection.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on October 3, 2025.

    • Citation F0688. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

      CMS lists it as corrected on October 3, 2025.

    • Citation F0693. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

      CMS lists it as corrected on October 3, 2025.

      CMS has cited this home for F0693 2 times since 2023.

    See this home on CMS Care Compare

  22. 1 citation

    Health inspection on August 22, 2025

    CMS lists this as a complaint inspection.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on August 23, 2025.

    See this home on CMS Care Compare

  23. 1 citation

    Health inspection on August 8, 2025

    CMS lists this as a complaint inspection.

    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on August 9, 2025.

    See this home on CMS Care Compare

  24. CMS update of July 30, 2025

    • Star rating

      The CMS quality measures star rating changed from 1 of 5 to 2 of 5.

  25. 1 citation

    Health inspection on June 25, 2025

    CMS lists this as a complaint inspection.

    • Citation F0610. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Respond appropriately to all alleged violations.

      CMS lists it as corrected on June 11, 2025.

    See this home on CMS Care Compare

  26. 1 citation

    Health inspection on June 18, 2025

    CMS lists this as a complaint inspection.

    • Citation F0689. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on June 19, 2025.

    See this home on CMS Care Compare

  27. 1 citation

    Health inspection on June 5, 2025

    CMS lists this as a complaint inspection.

    • Citation F0677. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on June 6, 2025.

      CMS has cited this home for F0677 5 times since 2023.

    See this home on CMS Care Compare

  28. 1 citation

    Health inspection on May 27, 2025

    CMS lists this as a complaint inspection.

    • Citation F0600. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

      CMS lists it as corrected on June 10, 2025.

    See this home on CMS Care Compare

  29. 1 citation

    Health inspection on May 15, 2025

    CMS lists this as a complaint inspection.

    • Citation F0628. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

      CMS lists it as corrected on May 16, 2025.

    See this home on CMS Care Compare

  30. 1 citation

    Health inspection on April 8, 2025

    CMS lists this as a complaint inspection.

    Severity G is the second-highest of CMS's four levels. It means a resident was harmed.

    227 of 1,165 California homes (19%) got a citation at the actual harm level in 2025.

    • Citation F0689. Severity G: actual harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on April 9, 2025.

    See this home on CMS Care Compare

  31. CMS update of February 26, 2025

    • Star rating

      The CMS quality measures star rating changed from 2 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.

  32. 1 citation

    Health inspection on February 6, 2025

    CMS lists this as a complaint inspection.

    • Citation F0684. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on February 28, 2025.

      CMS has cited this home for F0684 3 times since 2024.

    See this home on CMS Care Compare

  33. CMS update of December 20, 2024

    • CMS abuse icon

      CMS removed its abuse icon from this home.

  34. 3 citations

    Health inspection on November 5, 2024

    CMS lists this as a complaint inspection.

    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on October 30, 2024.

    • Citation F0755. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on October 30, 2024.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on October 30, 2024.

    See this home on CMS Care Compare

  35. CMS update of October 30, 2024

    • CMS abuse icon

      CMS added its abuse icon to this home.

  36. 4 citations

    Health inspection on October 22, 2024

    CMS lists this as a complaint inspection.

    • Citation F0558. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Reasonably accommodate the needs and preferences of each resident.

      CMS lists it as corrected on November 15, 2024.

      CMS has cited this home for F0558 5 times since 2023.

    • Citation F0677. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on November 15, 2024.

    • Citation F0757. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident’s drug regimen must be free from unnecessary drugs.

      CMS lists it as corrected on November 15, 2024.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on November 15, 2024.

    See this home on CMS Care Compare

  37. 2 citations

    Health inspection on October 18, 2024

    CMS lists this as a complaint inspection.

    • Citation F0880. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on October 7, 2024.

    • Citation F0584. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

      CMS lists it as corrected on October 7, 2024.

    See this home on CMS Care Compare

  38. 1 citation

    Health inspection on September 4, 2024

    CMS lists this as a complaint inspection.

    • Citation F0684. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on September 5, 2024.

    See this home on CMS Care Compare

  39. 1 citation

    Health inspection on August 22, 2024

    CMS lists this as a complaint inspection.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on August 23, 2024.

    See this home on CMS Care Compare

  40. 20 citations

    Health inspection on August 1, 2024

    CMS lists this as a standard inspection and a complaint inspection.

    • Citation F0812. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on August 12, 2024.

    • Citation F0558. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Reasonably accommodate the needs and preferences of each resident.

      CMS lists it as corrected on August 12, 2024.

    • Citation F0695. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on August 12, 2024.

    • Citation F0755. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on August 12, 2024.

    • Citation F0760. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure that residents are free from significant medication errors.

      CMS lists it as corrected on August 12, 2024.

    • Citation F0813. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have a policy regarding use and storage of foods brought to residents by family and other visitors.

      CMS lists it as corrected on August 12, 2024.

    • Citation F0880. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on August 12, 2024.

    • Citation F0550. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

      CMS lists it as corrected on August 12, 2024.

    • Citation F0584. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

      CMS lists it as corrected on August 12, 2024.

    • Citation F0600. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

      CMS lists it as corrected on August 12, 2024.

    • Citation F0610. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Respond appropriately to all alleged violations.

      CMS lists it as corrected on August 12, 2024.

    • Citation F0645. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: PASARR screening for Mental disorders or Intellectual Disabilities

      CMS lists it as corrected on August 12, 2024.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on August 12, 2024.

    • Citation F0677. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on August 12, 2024.

    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on August 12, 2024.

    • Citation F0692. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide enough food/fluids to maintain a resident's health.

      CMS lists it as corrected on August 12, 2024.

    • Citation F0694. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide for the safe, appropriate administration of IV fluids for a resident when needed.

      CMS lists it as corrected on August 12, 2024.

    • Citation F0697. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe, appropriate pain management for a resident who requires such services.

      CMS lists it as corrected on August 12, 2024.

    • Citation F0761. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

      CMS lists it as corrected on August 12, 2024.

    • Citation F0791. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide or obtain dental services for each resident.

      CMS lists it as corrected on August 12, 2024.

    See this home on CMS Care Compare

  41. 10 citations

    Fire safety inspection on August 1, 2024

    CMS lists this as a standard inspection.

    • Citation K0363. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Install corridor and hallway doors that block smoke.

      CMS lists it as corrected on October 1, 2024.

    • Citation K0918. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.

      CMS lists it as corrected on October 1, 2024.

    • Citation K0324. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide properly protected cooking facilities.

      CMS lists it as corrected on October 1, 2024.

    • Citation K0353. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on October 1, 2024.

    • Citation K0355. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Properly select, install, inspect, or maintain portable fire extinguishes.

      CMS lists it as corrected on October 1, 2024.

    • Citation K0374. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Install smoke barrier doors that can resist smoke for at least 20 minutes.

      CMS lists it as corrected on October 1, 2024.

    • Citation K0741. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

      CMS lists it as corrected on October 1, 2024.

    • Citation K0920. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure proper usage of power strips and extension cords.

      CMS lists it as corrected on October 1, 2024.

    • Citation K0345. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Have approved installation, maintenance and testing program for fire alarm systems.

      CMS lists it as corrected on October 1, 2024.

    • Citation K0712. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Have simulated fire drills held at unexpected times.

      CMS lists it as corrected on October 1, 2024.

    See this home on CMS Care Compare

  42. CMS update of July 31, 2024

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 2 of 5.

  43. 1 citation

    Fire safety inspection on July 18, 2024

    CMS lists this as a complaint inspection.

    • Citation K0345. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Have approved installation, maintenance and testing program for fire alarm systems.

      CMS lists it as corrected on July 19, 2024.

    See this home on CMS Care Compare

  44. 4 citations

    Health inspection on July 17, 2024

    CMS lists this as a complaint inspection.

    Severity G is the second-highest of CMS's four levels. It means a resident was harmed.

    256 of 1,165 California homes (22%) got a citation at the actual harm level in 2024.

    • Citation F0684. Severity G: actual harm, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on August 7, 2024.

    • Citation F0580. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

      CMS lists it as corrected on August 7, 2024.

    • Citation F0770. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide timely, quality laboratory services/tests to meet the needs of residents.

      CMS lists it as corrected on August 7, 2024.

    • Citation F0867. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

      CMS lists it as corrected on August 7, 2024.

    See this home on CMS Care Compare

  45. 1 citation

    Health inspection on July 16, 2024

    CMS lists this as a complaint inspection.

    • Citation F0573. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

      CMS lists it as corrected on August 7, 2024.

    See this home on CMS Care Compare

  46. 2 citations

    Health inspection on June 11, 2024

    CMS lists this as a complaint inspection.

    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on June 28, 2024.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on June 28, 2024.

    See this home on CMS Care Compare

  47. 1 citation

    Health inspection on June 10, 2024

    CMS lists this as a complaint inspection.

    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on June 17, 2024.

    See this home on CMS Care Compare

  48. 2 citations

    Health inspection on May 30, 2024

    CMS lists this as a complaint inspection.

    • Citation F0943. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

      CMS lists it as corrected on June 27, 2024.

    • Citation F0609. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      CMS lists it as corrected on June 27, 2024.

    See this home on CMS Care Compare

  49. 2 citations

    Health inspection on May 28, 2024

    CMS lists this as a complaint inspection.

    • Citation F0558. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Reasonably accommodate the needs and preferences of each resident.

      CMS lists it as corrected on June 2, 2024.

    • Citation F0807. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

      CMS lists it as corrected on June 2, 2024.

    See this home on CMS Care Compare

  50. 3 citations

    Fire safety inspection on April 15, 2024

    CMS lists this as a complaint inspection.

    • Citation E0006. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Conduct risk assessment and an All-Hazards approach.

      CMS lists it as corrected on April 26, 2024.

      CMS has cited this home for E0006 2 times since 2023.

    • Citation K0521. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

      CMS lists it as corrected on April 26, 2024.

    • Citation K0741. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

      CMS lists it as corrected on April 26, 2024.

    See this home on CMS Care Compare

  51. CMS update of March 28, 2024

    • Ownership

      CMS lists this home under a new chain.

  52. 1 citation

    Health inspection on March 18, 2024

    CMS lists this as a complaint inspection.

    • Citation F0557. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

      CMS lists it as corrected on April 4, 2024.

    See this home on CMS Care Compare

  53. 2 citations

    Health inspection on March 15, 2024

    CMS lists this as a complaint inspection.

    • Citation F0558. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Reasonably accommodate the needs and preferences of each resident.

      CMS lists it as corrected on April 4, 2024.

    • Citation F0726. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

      CMS lists it as corrected on April 4, 2024.

    See this home on CMS Care Compare

  54. 1 citation

    Health inspection on January 3, 2024

    CMS lists this as a complaint inspection.

    • Citation F0725. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

      CMS lists it as corrected on January 26, 2024.

    See this home on CMS Care Compare

  55. 1 citation

    Health inspection on December 28, 2023

    CMS lists this as a complaint inspection.

    • Citation F0880. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on January 26, 2024.

    See this home on CMS Care Compare

  56. 1 citation

    Health inspection on November 8, 2023

    CMS lists this as a complaint inspection.

    • Citation F0677. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on November 22, 2023.

    See this home on CMS Care Compare

  57. 1 citation

    Health inspection on October 24, 2023

    CMS lists this as a complaint inspection.

    • Citation F0550. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

      CMS lists it as corrected on October 26, 2023.

    See this home on CMS Care Compare

  58. 17 citations

    Health inspection on July 20, 2023

    CMS lists this as a standard inspection.

    • Citation F0658. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure services provided by the nursing facility meet professional standards of quality.

      CMS lists it as corrected on August 1, 2023.

    • Citation F0677. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on August 1, 2023.

    • Citation F0688. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

      CMS lists it as corrected on August 1, 2023.

    • Citation F0730. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Observe each nurse aide's job performance and give regular training.

      CMS lists it as corrected on August 1, 2023.

    • Citation F0755. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on August 1, 2023.

    • Citation F0759. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure medication error rates are not 5 percent or greater.

      CMS lists it as corrected on August 1, 2023.

    • Citation F0760. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure that residents are free from significant medication errors.

      CMS lists it as corrected on August 1, 2023.

    • Citation F0761. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

      CMS lists it as corrected on August 1, 2023.

    • Citation F0812. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on August 1, 2023.

    • Citation F0842. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

      CMS lists it as corrected on August 1, 2023.

    • Citation F0868. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

      CMS lists it as corrected on August 1, 2023.

    • Citation F0880. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on August 1, 2023.

    • Citation F0558. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Reasonably accommodate the needs and preferences of each resident.

      CMS lists it as corrected on August 1, 2023.

    • Citation F0561. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

      CMS lists it as corrected on August 1, 2023.

    • Citation F0657. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

      CMS lists it as corrected on August 1, 2023.

    • Citation F0693. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

      CMS lists it as corrected on August 1, 2023.

    • Citation F0758. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

      CMS lists it as corrected on August 1, 2023.

    See this home on CMS Care Compare

  59. 21 citations

    Fire safety inspection on July 20, 2023

    CMS lists this as a standard inspection.

    • Citation E0039. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Conduct testing and exercise requirements.

      CMS lists it as corrected on September 19, 2023.

    • Citation E0041. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Implement emergency and standby power systems.

      CMS lists it as corrected on September 19, 2023.

    • Citation K0293. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have properly located and lighted "Exit" signs.

      CMS lists it as corrected on September 19, 2023.

    • Citation K0347. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Properly provide smoke detection systems in areas open to corridors.

      CMS lists it as corrected on September 19, 2023.

    • Citation K0351. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Install an approved automatic sprinkler system.

      CMS lists it as corrected on September 19, 2023.

    • Citation K0914. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

      CMS lists it as corrected on September 19, 2023.

    • Citation K0918. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.

      CMS lists it as corrected on September 19, 2023.

    • Citation E0006. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Conduct risk assessment and an All-Hazards approach.

      CMS lists it as corrected on September 19, 2023.

    • Citation K0321. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

      CMS lists it as corrected on September 19, 2023.

    • Citation K0324. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide properly protected cooking facilities.

      CMS lists it as corrected on September 19, 2023.

    • Citation K0353. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on September 19, 2023.

    • Citation K0363. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Install corridor and hallway doors that block smoke.

      CMS lists it as corrected on September 19, 2023.

    • Citation K0374. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Install smoke barrier doors that can resist smoke for at least 20 minutes.

      CMS lists it as corrected on September 19, 2023.

    • Citation K0712. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have simulated fire drills held at unexpected times.

      CMS lists it as corrected on September 19, 2023.

    • Citation K0919. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Meet requirements for the use of electrical equipment.

      CMS lists it as corrected on September 19, 2023.

    • Citation K0161. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Use approved construction type or materials.

      CMS lists it as corrected on September 19, 2023.

    • Citation K0341. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Install a fire alarm system that can be heard throughout the facility.

      CMS lists it as corrected on September 19, 2023.

    • Citation K0345. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have approved installation, maintenance and testing program for fire alarm systems.

      CMS lists it as corrected on September 19, 2023.

    • Citation K0355. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Properly select, install, inspect, or maintain portable fire extinguishes.

      CMS lists it as corrected on September 19, 2023.

    • Citation K0741. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

      CMS lists it as corrected on September 19, 2023.

    • Citation K0920. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure proper usage of power strips and extension cords.

      CMS lists it as corrected on September 19, 2023.

    See this home on CMS Care Compare

Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

Questions

When was Delta Oaks Post Acute last inspected?

CMS lists October 2, 2025 as the date of its most recent standard health inspection.

How many citations (violations) does Delta Oaks Post Acute have?

CMS lists 116 health citations since July 20, 2023. CMS also calls these deficiencies.

Has Delta Oaks Post Acute been fined?

CMS lists no fines for this home in the past three years.

What is the CMS star rating of Delta Oaks Post Acute?

Its CMS overall star rating is 1 of 5.

Is Delta Oaks Post Acute a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.

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